Name of the Procedure:

Open Treatment of Radial and Ulnar Shaft Fractures with Internal Fixation (of Radius OR Ulna)

Summary

This surgical procedure involves the open treatment of fractures in the radial or ulnar shafts using internal fixation techniques. Essentially, it means setting the broken bone(s) in the forearms using surgical hardware like screws, plates, or rods to hold the bones in place for proper healing.

Purpose

The procedure addresses fractures in the radial or ulnar shafts (long bones of the forearm). The goal is to stabilize the bones, promote proper alignment and healing, and restore function to the injured limb.

Indications

• Severe forearm pain and swelling post-injury
• Evident deformity in the forearm
• Inability to use the forearm and hand
• X-rays confirming displaced fractures in the radius or ulna

Preparation

• Patients may need to fast for several hours before surgery.
• Adjustments to regular medication may be necessary.
• Pre-operative imaging studies like X-rays or CT scans to assess fracture severity.
• Blood tests and overall health assessment.

Procedure Description

1. Anesthesia: General or regional anesthesia will be administered.
2. Incision: A surgical incision is made over the fracture site.
3. Reduction: The broken bone fragments are realigned manually.
4. Fixation: Plates, screws, or rods are placed to hold the bone fragments together.
5. Closure: The incision is closed with sutures or staples, and a sterile dressing is applied.

Duration

The procedure typically takes about 1 to 2 hours, depending on the complexity of the fractures.

Setting

The procedure is performed in a hospital or a surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Radiologic technologists

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma
• Nerve or blood vessel damage
• Non-union or malunion of the bone
• Hardware irritation or breakage
• Anesthetic reactions

Benefits

• Proper bone healing and alignment
• Restoration of forearm function
• Pain relief
• Reduced likelihood of future complications

Recovery

• Post-surgical immobilization with a cast or splint.
• Pain management with prescribed medications.
• Physical therapy may be necessary.
• Full recovery can take several months.
• Follow-up appointments for monitoring bone healing.

Alternatives

• Closed reduction with casting (less invasive but may be less effective for severe fractures).
• External fixation (temporary stabilization with external hardware).
• Pros of described procedure: Higher stability and better alignment.
• Cons: More invasive with associated surgical risks.

Patient Experience

During the procedure, the patient will be under anesthesia and won’t feel pain. Post-operatively, there may be pain and swelling, managed with medications. Discomfort will lessen as healing progresses, and physical therapy will aid in regaining strength and motion.